Individual
CHRISTINE LOREEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
190 BONAR AVE, WAYNESBURG, PA 15370-1604
(724) 627-8500
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440012
—
PA
05
—
32883A336347
—
PA
Enumeration date
09/20/2006
Last updated
07/09/2007
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